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NPI Code Detail

MEDICARE: MRS. MADALENE BUONAIUTO RPH

MEDICARE: MRS. MADALENE BUONAIUTO RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist34681NY

General Provider Information

NPI Number : 1053308619
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MADALENE BUONAIUTO RPH
Provider Business Mailing Address
First Line : 15036 21ST AVE
Second Line :
City : WHITESTONE
State : NY
Zip : 11357-3608
Country : US
Telephone Number : 718-461-4145
Fax Number : 718-828-7491
Provider Business Practice Location Address
First Line : 2941 WESTCHESTER AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-4534
Country : US
Telephone Number : 718-828-0498
Fax Number : 718-828-7491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 07/08/2007

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